Lymphatics/lymph node imaging at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$753.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$1,255.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$149.50 with United Healthcare Community Plan for Families vs $1,238.44 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $149.50 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $198.00 | ↓ -74% |
| Aetna | Medicaid | $203.40 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $219.03 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $234.02 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $250.18 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $306.76 | ↓ -59% |
| UPMC Health Plan | Commercial | $413.48 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $439.94 | ↓ -42% |
| United Healthcare | Commercial | $461.84 | ↓ -39% |
| Humana | Medicare | $513.18 | ↓ -32% |
| United Healthcare | Medicare | $513.18 | ↓ -32% |
| Aetna of PA | Medicare | $513.18 | ↓ -32% |
| UPMC Health Plan | Managed Medicare | $534.84 | ↓ -29% |
| UPMC Health Plan | EPO Partners/Partners/Select | $535.86 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.18 | ↓ -26% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $554.23 | ↓ -26% |
| Cigna | Medicare | $554.23 | ↓ -26% |
| AmeriHealth Caritas | Medicare | $554.23 | ↓ -26% |
| Occunet | Commercial | $641.48 | ↓ -15% |
| UPMC Health Plan | CHIP | $670.82 | ↓ -11% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $941.25 | ↑ +25% |
| Humana | Commercial | $1,004.00 | ↑ +33% |
| National Provider Network | PPO | $1,104.40 | ↑ +47% |
| Cigna | Commercial | $1,238.44 | ↑ +64% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lymphatics/lymph node imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $769.20 | $130.00 – $1,025.60 |
| UPMC Carlisle | Carlisle | $1,574.40 | $170.30 – $2,230.40 |
| UPMC Cole | Coudersport | $1,177.80 | $189.00 – $1,570.40 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $170.30 – $2,230.40 |
| UPMC East | Monroeville | $1,978.20 | $198.00 – $2,637.60 |
| UPMC Hamot | Erie | $1,242.60 | $198.00 – $700.71 |
| UPMC Northwest | Seneca | $691.20 | $198.00 – $538.84 |
| UPMC Hanover | Hanover | $1,574.40 | $170.30 – $822.74 |